How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $31.62 Median $33.11 Typical High $67.61 | Facility | None | $31.62 | $33.11 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $31.62 | Professional | None | $21.38 | $21.38 | $31.62 |
Ambetter Setting Professional Modifier None Typical Low $21.38 Median $28.18 Typical High $28.18 | Professional | None | $21.38 | $28.18 | $28.18 |
BCBS Arizona Setting Facility Modifier None Typical Low $64.57 Median $275.42 Typical High $416.87 | Facility | None | $64.57 | $275.42 | $416.87 |
BCBS Arizona Setting Professional Modifier None Typical Low $17.78 Median $23.44 Typical High $33.88 | Professional | None | $17.78 | $23.44 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $46.77 | Professional | None | $20.42 | $24.55 | $46.77 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $23.44 Typical High $53.70 | Facility | None | $21.38 | $23.44 | $53.70 |
Medica Setting Professional Modifier None Typical Low $22.39 Median $151.36 Typical High $151.36 | Professional | None | $22.39 | $151.36 | $151.36 |
United Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $40.74 | Professional | None | $21.38 | $25.12 | $40.74 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.72 Median $10.72 Typical High $11.48 | Professional | 52 · Reduced service | $10.72 | $10.72 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $4.57 | Professional | 53 · Discontinued | $4.27 | $4.27 | $4.57 |
Where Arizona sits
The same service costs 2.8 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 42nd of 51
$24.55
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.